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Loan Application

Type And Amount of Credit You're Requesting

$

Applicant

General Information
Please indicate your marital status.

Own or Rent?
     
     
Income


   
$
  $
 
Income Time Unit   Other Income Time Unit  
Spousal support, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for repayment of this loan.

Co-Applicant

General Information
Please indicate your marital status.





Own or Rent?
   

   
Income


   
$
 

Income Time Unit   Other Income Time Unit  
Spousal support, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for repayment of this loan.

Both Applicants

Debts









Assets
Autos Owned Year Make/Model Balance Payment
Car - 1




Car - 2




Car - 3/RV/Boat




Questions
Have you ever had a repossession?
Have you ever filed Bankruptcy?
Are there any judgments or liens against you?
Are you a co-signer on any other loan?
Are you a US citizen?
 

Application Submission

  1. I understand I must be a member in good standing to obtain a loan from my credit union.
  2. I certify that statements on this application are true and complete.
  3. I authorize any person, association, firm, or corporation to furnish, on request of this credit union, information concerning me or my financial affiars.


If you have any questions regarding your application, please contact us at (913) 281-9490.